| NPI | 1881140119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD482344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101272073) |
| 207R00000X Internal Medicine (Licence: MI 4301110868) | |
| 207R00000X Internal Medicine (Licence: PA MD482344) | |
| 208M00000X Hospitalist (Licence: VA 0101272073) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-08-04 |